Clinical evaluation of reasons for replacement of amalgam vs composite posterior restorations

Al-Asmar, Ayah A; Sabrah, Alaa HA; Abd-Raheam, Isalm M; Ismail, Noor H; Owais, Yara G

doi:10.1016/j.sdentj.2023.02.003

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…Inadequate isolation and improper handling of materials can contribute to pain and food impaction. [ 24 ] Amalgam restorations require precise cavities and appropriate resistance and retention forms. Dental restoration failure can result from poor cavity design and amalgam management, causing pain, food impaction, secondary caries, or fractures.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Prevalence and Causative Factors for Replacement of Composite and Amalgam Restorations: An Observational Study

Alhoshani,

Khan

2024

Journal of Pharmacy and Bioallied Sciences

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Aim: This study intends to evaluate the frequency and causes of replacement for failed amalgam and composite dental restorations. Methodology: A cross-sectional study comprising female patients with failed permanent composite and amalgam restorations aged 15–60 years old was carried out at the dental clinics of Qassim University. Using a self-structured proforma, demographic data and causes for restoration failure were recorded. The effectiveness of the restorations was assessed by using the Ryge criteria after performing clinical and radiographic examinations. The Statistical Package for Social Science was used for the statistical analysis. Results: It is found that 84.6% of the 299 unsuccessful restorations examined were composite, and 15.4% were amalgam. The main reason for dental failure for both amalgam (95.6%) and composite (93.28%) restorations was secondary caries. Failure of amalgam restoration was largely caused by poor marginal adaptation. With varied incidences between amalgam and composite restorations, typical complaints included discomfort, sensitivity, pain, and food impaction with soreness. The main justification for replacement in amalgam restorations was sensitivity. Repair and replacement rates were similar for amalgam, composite, and mandibular/maxillary restorations. Moreover, 21.1% of individuals overall reported no symptoms, with 8.7% in the amalgam group and 23.3% in the composite group with significant differences (χ 2 = 34.28, P = 0.001). Conclusion: According to the current study, secondary caries was found to be the main reason for both amalgam and composite restoration failure. The main problems reported were sensitivity, discomfort, and pain with amalgam showing more sensitivity-related failures.

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Section: Discussionmentioning

confidence: 99%

Assessment of Prevalence and Causative Factors for Replacement of Composite and Amalgam Restorations: An Observational Study

Alhoshani,

Khan

2024

Journal of Pharmacy and Bioallied Sciences

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“…Nonetheless, the issue of discoloration remains a significant challenge, particularly when the restorations are exposed to the oral environment for an extended period. This discoloration not only compromises the color match of the restoration but also leads to patient discontent, necessitating the extra expense of replacement [ 2 ]. The discoloration of restorations can be attributed to either extrinsic or intrinsic factors.…”

Section: Introductionmentioning

confidence: 99%

A comparative assessment of color stability among various commercial resin composites

Uctasli,

Garoushi,

Uctasli

et al. 2023

BMC Oral Health

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Objectives The aim was to evaluate the color stability of six commercial restorative resin composites after being exposed to commonly consumed beverages. Repolishing impact on the stained composite was also assessed. Methods One-hundred and fifty disc specimens (8 mm diameter & 3 mm thickness) were prepared from Filtek™ Universal Restorative, SDR flow+, everX Flow, G-ænial A’CHORD, G-ænial Universal Flo and G-ænial Universal Injectable. To assess the color stability in five various beverages, 25 specimens from each material were randomly distributed into five groups (n = 5), according to the utilized staining solution. Group 1: distilled water, Group 2: coffee, Group 3: red wine, Group 4: energy drink, Group 5: coke. The color changes (∆E) for all materials were measured using spectrophotometer at the baseline, after 84 days of staining and after repolishing. Data was collected and analyzed using ANOVA (α = 0.05). Results Both material type and staining solution had a significant effect on the color stability of specimens (p < 0.05). Compared to other beverages, the color value of the specimens submerged in coffee and wine showed the most statistically significant (p < 0.05) mean ∆E. SDR flow + in coffee and wine presented the highest ∆E when compared to other tested materials (p < 0.05). After staining of the composites, repolishing was successful in lowering the ∆E value. Conclusions All the beverages had an impact on the color stability of the tested resin composites, with coffee and wine demonstrating the most significant effects. The variations in color stability varied depending on the specific material utilized. Dentists should possess awareness regarding the chemical interactions that occur between different beverages and various types of resin composites. Additionally, repolishing serves as an effective technique for eliminating surface discoloration in composite restorations.

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Longevity of posterior direct versus indirect composite restorations: A systematic review and meta-analysis

Tennert,

Maliakal,

Suarèz Machado

et al. 2024

Dental Materials

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Clinical evaluation of reasons for replacement of amalgam vs composite posterior restorations

Cited by 4 publications

References 30 publications

Assessment of Prevalence and Causative Factors for Replacement of Composite and Amalgam Restorations: An Observational Study

Assessment of Prevalence and Causative Factors for Replacement of Composite and Amalgam Restorations: An Observational Study

A comparative assessment of color stability among various commercial resin composites

Longevity of posterior direct versus indirect composite restorations: A systematic review and meta-analysis

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